butofcourse

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1. Aquapheresis

   butofcourse replied to cardiacnurse05's topic in Cardiac

   Good access and anticoagulation are the keys to success w/ the machine. The large bore dual lumen cathaters that CHF Solutions has work best. We have our Interventional Radiology place the lines to ensure successful placement. The reason this therapy...

2. Nursing Apps for ANDROID

   butofcourse replied to redstepchild's topic in Headlines

   Qx Calculate is great if you're looking for risk scores, etc.

3. Standard practice for arterial line pulls

   butofcourse posted a topic in Cardiac

   I'm trying to collect info on how many practice line pulls are considered adequate to consider someone competent to do them on their own. Our cath Recovery requires 10 but this is not possible for our new ICU staff based on pt volume and staffing I'm...

4. Infiltrate treatment question

   butofcourse replied to butofcourse's topic in CCU

   Hi all! I'm revisiting a very old thread to add a little info and ask a question: As far as the 10 sticks, we have had very good results with it, so i wouldn't recommend more unless the infiltrate is extensive. That needs to be assessed on an individ...

5. Codes and note taking

   butofcourse replied to Holly27's topic in CCU

   holly27, a code once a week sounds excessive for any type of unit. why don't you take a peak at the code review sheet listed at the link from siri. it may help you pinpoint opportunities for improvement in pt care. at our hospital we have dramatica...

6. Infiltrate treatment question

   butofcourse replied to butofcourse's topic in CCU

   Yes, after much discussion here's the solution we've come up with: Pharmacy will support the nursing units by doing the reconstituting and send 10 1cc syringes of diluted Regitine to the unit. As such, it is stable for 24 hours. Regitine will also re...

7. Infiltrate treatment question

   butofcourse replied to butofcourse's topic in CCU

   I now have reached another snag w/ this issue. We all are concerned w/ avoiding needle sticks and all of the needles avail. in our hospital have safety covers for the needle after injection. Once covered, the needle CAN'T be changed. How have you guy...

8. Infiltrate treatment question

   butofcourse replied to butofcourse's topic in CCU

   Here are the references that specifically state to change the needle between each skin entry: Lexi-Comp's Drug Information Handbook, 13th edition, p 1192-1193, Lexi-Comp, Inc, 2005. Cancer Chemotherapy Manual: Summary of Extravasation Management for...

9. Infiltrate treatment question

   butofcourse replied to butofcourse's topic in CCU

   Thank you so much, TennRN! You put into words what I was having trouble wrapping my arms around! For the rest of you, I will make a more concerted effort to retrieve the exact reference. Thanks for all your responses!!!

10. Infiltrate treatment question

    butofcourse posted a topic in CCU

    Hello everyone, I'm hoping some of you have experience with treating Dopamine Infiltrates. New literature I found indicates that when injecting Regitine into the infiltrate site, the needle must be changed each time you inject at a new spot in the ar...